MRS. PENNI CAROL CANNADY (ANP) – Clinical Cardiac Electrophysiology Physician, NPI 1265677686

MRS. PENNI CAROL CANNADY (ANP) is a healthcare provider. based in Dyersburg, Tennessee. specializing in NURSE PRACTITIONER. They hold the professional credentials ANP. They hold a License No. 13828 (TN). The NPI Number for MRS. PENNI CAROL CANNADY (ANP) is 1265677686

Main info

Female
18 Years Of Experience
Accepts Medicare Assignment
Name
MRS. PENNI CAROL CANNADY (ANP)
NPI
1265677686
Phone
(731) 334-5312
Address
350 E PARKVIEW ST
Enumeration Date
15 December 2008
Last Update Date
28 September 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7313345312
Graduation Year
2008 (18 years ago)
PAC ID
0143383125
Group Practice PAC ID
5193022994
Professional Enrollment ID
I20090116000611
Address ID
TN380243110DY350XXSTXX400

Contacts

Secure Messaging
simonokewole@hvcwtn.allscriptsdirect.net
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience63
Completeness85
Years active:17State licenses:1Other namesUpdated within 12 months

10,664 NURSE PRACTITIONER in TN

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Provider Addresses for MRS. PENNI CAROL CANNADY (ANP)

  • 350, East Parkview Street, Dyersburg, Dyer County, West Tennessee, Tennessee, 38024, United States

    DYERSBURG, TN 380243110

    Phone: (731) 334-5312

    Fax: (731) 334-5311

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 5 Open Payments records for all available years, with a total value of $300.

Total Amount is formed as General ($300) + Research ($0) + Ownership ($0) = $300.

Last reported payment date: 2024-03-12 • Largest payer in this snapshot: Lilly USA, LLC ($128).

Total Amount

$300

General + Research + Ownership

Payments

5

Total payment records

General Amount

$300

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-03-12

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2009-01-16

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20090116000611INurse PractitionerTNTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
36415Insertion of needle into vein for collection of blood sample22180$0
99214Established patient office or other outpatient visit, 30-39 minutes19873$0
99213Established patient office or other outpatient visit, 20-29 minutes16865$0
J1100Injection, dexamethasone sodium phosphate, 1 mg12323$0
96372Injection of drug or substance under skin or into muscle6234$0
View full utilization report →

Insurance plans in this area (ZIP 38024)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5193022994View full group profile
NameSpecialtyState
Nurse PractitionerTN
Nurse PractitionerTN
Internal Medicine, Cardiovascular Disease (Cardiology)TN
Cardiovascular Disease (Cardiology), Emergency Medicine, Interventional CardiologyTN
Cardiovascular Disease (Cardiology), Internal MedicineTN
Interventional Radiology, Cardiovascular Disease (Cardiology)TN
Cardiovascular Disease (Cardiology), Internal MedicineMS
Cardiovascular Disease (Cardiology)TN
Nurse PractitionerTN
Nurse PractitionerTN

Reviews

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Frequently asked questions

Does MRS. PENNI CAROL CANNADY (ANP) have a public NPI I can cite?
Public records show MRS. PENNI CAROL CANNADY (ANP) under NPI 1265677686.
Should I treat MRS. PENNI CAROL CANNADY (ANP) as an active provider?
Patients and plans typically see MRS. PENNI CAROL CANNADY (ANP) as active in the national extract.
What services align with MRS. PENNI CAROL CANNADY (ANP)'s listing?
MRS. PENNI CAROL CANNADY (ANP)'s public classification highlights Clinical Cardiac Electrophysiology Physician. Clinical services aligned with this taxonomy classification.
Is MRS. PENNI CAROL CANNADY (ANP) tied to Dyersburg, Tennessee?
If you are local to Dyersburg, Tennessee, MRS. PENNI CAROL CANNADY (ANP) may be relevant to your search.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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